Individual provider Active NPI

Charles John Haase III, M.D.

  • Emergency Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1619310828
Registry record updated Jan 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD207981 Issued in LA
Practice address
8733 Siegen LN # 101
Baton Rouge, LA 70810-1945
Phone
(225) 313-6886
NPI assigned
Apr 8, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD207981 LA Primary

Addresses

Primary practice location

8733 Siegen LN # 101
Baton Rouge, LA 70810-1945

Mailing address

8733 Siegen LN # 101
Baton Rouge, LA 70810-1945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160411000555 LA Practitioner - Emergency Medicine 2961700893 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Urgent Care Ascension LLCGroup PAC ID 0244479095, 22 clinicians

Practice addresses (Care Compare)

14350 Hwy 73
Prairieville, LA 70769-3617
Phone (225) 313-3930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Urgent Care Ascension LLC Current Accepting new patients
LCMC Urgent Care LLC CurrentSince Mar 1, 2019 Accepting new patients
Convenient Care LLC CurrentSince Mar 1, 2019 Accepting new patients
Convenient Care LLC Emergency Medicine Current Accepting new patients
Convenient Care LLC CurrentSince Mar 1, 2019 Accepting new patients
Lake Urgent Care Ascension LLC CurrentSince Mar 1, 2019 Accepting new patients
Lake Urgent Care Ascension LLC Past Accepting new patients

Locations

10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

123 Lee Dr
Baton Rouge, LA 70808
Phone (225) 302-5757

70340 Highway 21
#A
Covington, LA 70433
Phone (985) 809-8989

1776 N Airline Hwy
Ste A
Gonzales, LA 70737
Phone (225) 647-4988

826 Harrison Ave
#A
New Orleans, LA 70124
Phone (504) 309-7108

1105 S Clearview Pkwy
New Orleans, LA 70121
Phone (504) 676-5550

40546 Highway 42
Prairieville, LA 70769
Phone (225) 744-4988

14350 Highway 73
Prairieville, LA 70769
Phone (225) 313-3930

10714 Highway 431
Saint Amant, LA 70774
Phone (225) 644-0005

2600 Belle Chasse Hwy
Ste B2
Terrytown, LA 70056
Phone (504) 309-7108

Interoperability endpoints

  • Direct secure messaging: chaase4152706@direct.casso.us.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546646400000",
    "number": "1619310828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8733 SIEGEN LN # 101",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 SIEGEN LN # 101",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101945",
            "telephone_number": "225-313-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAASE",
        "first_name": "CHARLES",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2019-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD207981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.